Individual
MS. ELISSA CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-7572
(802) 847-7559
Mailing address
3556 VT ROUTE 17, STARKSBORO, VT 05487-7178
(802) 453-2330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101-0012139
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011444
—
VT
Enumeration date
07/18/2006
Last updated
07/08/2007
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